January 2009, Volume 39 Number 1 , p 10 - 10
Hadaway, Lynn C. RN-BC, CRNI, MEd
Issue: Volume 39(1), January 2009, p 10 Publication Type: [upFront: I.V. ROUNDS] Publisher: © 2009 Lippincott Williams & Wilkins, Inc. Institution(s): Lynn C. Hadaway is president of Lynn Hadaway Associates, Inc., in Milner, Ga.
YOU'VE BEEN ASKED TO obtain a blood specimen from Mr. Fields' dual-lumen peripherally inserted central catheter before starting his antibiotic infusion. He's receiving parenteral nutrition (PN) through the other lumen. The catheter was inserted about 2 weeks ago, 3 days after Mr. Fields was admitted with persistent severe abdominal pain. Mr. Fields was diagnosed with acute pancreatitis associated with the exenatide (Byetta) he recently started to control his type 2 diabetes.
You attach a 10-mL syringe to the hub of one lumen and attempt to flush the catheter, but meet moderate resistance and can't withdraw any blood from the line. The pump infusing the PN hasn't produced any occlusion alarms. You stop the infusion, ...